EDITOR'S QUIZ: GI SNAPSHOT
Ingested foreign body, to remove or not to remove
Gastroenterology and Liver Unit, Freeman Hospital, Newcastle upon Tyne, UK
Correspondence to:
Correspondence to:
Dr N Thompson
Gastroenterology and Liver Unit, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, UK; Nick.Thompson@nuth.nhs.uk
Keywords: foreign body removal; endoscopy; narcotics
| The first 150 words of the full text of this article appear below. |
A 24 year old male was admitted having swallowed a packet containing 17 tablets of buprinorphine (subatex) and complaining of dysphagia and odynophagia. On examination he was haemodynamically stable with a respiratory rate of 15/min and saturating at 96% on room air. Clinical examination was unremarkable and a chest x ray was normal. Endoscopy was requested by his admitting team.
At endoscopy the patient’s oesophagus was normal and a packet of about 5x2x3 cm in size was seen in the stomach (fig 1
).
[in a new window] Figure 1 Endoscopy of the stomach showing a packet of about 5x2x3 cm in size.
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What would you do next?
- Do nothing hoping that it would pass naturally?
- Retrieve using polypectomy snare or stone removal basket?
- Retrieve using Roth net?
- Do nothing and refer the patient for surgical removal of the packet?
See page 1155 for answer
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Gut 2006 55: 1155.[Extract] [Full Text] [PDF]
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